Closing the Grocery Gap Title
Written by Greer Stewart
Illustrations by Jasmine Salgado
Designed by Riley Nguyen & Camron Hinkle
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There are many misconceptions about food deserts in communities like Chicago’s West Side. While food is available, the quality is reduced, leading to food insecurity and numerous health concerns.

To combat this issue,
Wellness West, a state-funded coalition of healthcare and social service providers, is working to improve health equity for 10 West Side communities facing food insecurity, providing dignity of choice, and including multiple sources of healthy fresh food options. This non-profit is funded by the Illinois Healthcare Transformation Collaboratives (HTC) initiative of the Illinois Department of Healthcare and Family Services, which invests in closing the gap in care and increasing health equity in Illinois.
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What is Food Insecurity and who is affected? 
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One common misunderstanding about food insecurity is the difference between food insecurity and hunger. "Hunger is a physiological condition," says Tesa Anewishki, CEO of Loretto Hospital. "Food insecurity is lack of access to healthy food."

This can exist even when there is food available if the quality of that food is poor. "Not only in North Lawndale, where I live, work and worship are we a food desert and have insecurities to access quality food, but we have a plethora of bad choices to choose from," says James Brooks, MDiv, DMin, development consultant for Lawndale Christian Health Center.
"I look at food insecurity not just as the access to food, but a whole access to all the bad food."
Another misconception is that food insecurity primarily affects individuals experiencing homelessness. While unhoused individuals make up a percentage of those experiencing food insecurity, many of those lacking access to healthy food are simply low income.

Amy Laboy, program director for the Greater Chicago Food Depository, cites the calculation by the
MIT living wage calculator that two full-time working parents would need to make at least $29.50 an hour in order to achieve  a livable wage. "People are working multiple jobs and it's not earning a wage that is comparable to the living wage," Laboy says. "There is a huge gap in terms of being able to access the food you want and the dollars we're earning."



Working families on Chicago's West Side are often not eligible for benefits if their combined household income exceeds the threshold for Supplemental Nutrition Assistance Program (SNAP) benefits. According to the
Illinois SNAP eligibility calculator, a household of four with a maximum monthly gross income of $4,125 would be eligible for $973 in monthly SNAP benefits. This is why many people receiving SNAP benefits remain food insecure.



Many eligible Chicago residents are not enrolled in SNAP. "There's a lot of people who qualify for those resources that don't have them," says Juan Sebastian-Arias, former co-leader of the Chicago Food Equity Council. "An estimated monthly average of almost $30 million in SNAP benefits were left unused between summer 2019 and summer 2020."



Those who qualify may not know how to use their benefits at a local grocer, or may try to stretch benefits by substituting with less healthy options. Working families may also be unaware of available benefits and unable to access help outside of working hours. 
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How does food insecurity affect residents?
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One in five Chicago households is food insecure, with communities served by Wellness West facing even higher rates: 26% of those living on the West Side of Chicago are below the poverty rate, and 37% live with food insecurity.
One in five households in Chicago are food insecure.
After the Aldi in West Garfield Park closed in 2021, residents were left with only one grocery store: a Sav-a-Lot, which closed in 2022 due to health concerns.  This left no grocery store in a neighborhood with high rates of chronic, nutrition-related diseases, such as diabetes, heart disease, and high blood pressure. Socioeconomic barriers and low incomes make West Garfield Park an area with one of the lowest life expectancy in Chicago. 
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26%Below the poverty Rate
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37%Living with Food Insecurity
26% of those living on the West Side of Chicago are below the poverty rate, and 37% are living with food insecurity.
According to data from the Greater Chicago Food Depository 26.5% of residents in West Garfield Park are experiencing food insecurity. The community's life expectancy is 70 years, compared to 82 years for Chicago Loop residents. 
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The community's life expectancy is 70 years, compared to 82 years for Chicago Loop residents. 
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Community collaboration to combat food insecurity 
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In 2020, Mayor Lori Lightfoot established Chicago Food Equity Agenda, a multi-year partnership between communities and city representatives to remove barriers to urban farming, support BIPOC entrepreneurs and social groups, and connect people with healthy, nutritious food through education and program expansion.

"One of the initiatives was to update the city's licensing, to give urban growers a way to expand their businesses by being able to sell fresh, whole, uncut produce, unprocessed produce, at a produce stand on a community garden," says Sebastian-Arias.

The Greater Chicago Food Depository has worked with local food pantries to expand food distribution on the West side, helping to eliminate barriers and maximize nutrition programs, connecting residents to distribution areas and increasing awareness of SNAP restaurant meal options.

"A lot of innovation happened during our pandemic," Laboy says. "We actually cut food insecurity for children in half."

During the beginning of the Covid-19 Pandemic, Instacart provided assistance to West Garfield Park residents by working with the USDA to ensure  residents could use their SNAP dollars digitally.

"It's so important for people to be able to have that choice too," says Sarah Mastrorocco, VP and GM of Instacart Health. "We now accept EBT, SNAP in over 30,000 locations in all 50 states."  

Wellness West has also partnered with Chicago Botanic Garden to deliver a comprehensive farm-to-table approach.

"We have five [farms], mostly on the Southwest side of the city that then gets sold, donated at accessible prices at our farm in Ogden location and to our produce prescription program," says Carmen Vergara, vice president of community partnerships for Chicago Botanic Garden.
"Making sure that we're having affordable produce at accessible prices for people on the West Side is really our mission and our goal." 
Wellness West also partners with hospital systems to provide education on healthy food practices with a primary care physician with the goal of reducing chronic disease risk and increasing life expectancy.

Julia Bassett, senior manager of Rush University System for Health, says they conduct  community health needs assessments to determine if a patient is experiencing food insecurity. 

Providers ask patients questions about social determinants of health and automatically enroll them in the "Food is Medicine" program at Rush if they answer yes to any of the food insecurity questions. A community health worker works with them to ensure they receive resources after their appointment. 

"We give them healthy recipes; how to rinse those shelf stable foods off and how to make them more healthy," Bassett says. "We have about 73% of our patients that are African American women, 26% of those folks are Hispanic, so we have to make sure that we're culturally appropriate when we're deciding on the type of produce that we're picking out for our patients." 

Loretto Hospital and the Greater Chicago Food Depository are also partnering together to create the first hospital-based free grocery store in the country. Located within the hospital, the store will be available to the community.
Map of Zip codes that are considered food deserts
Tesa Anewishki, the first African and Native-American CEO of Loretto Hospital and board secretary for Wellness West, says  the hospital-based grocery store will help  educate their patients and the community on the importance of eating healthy to live longer. "We're focused on the outside; first we got to help those that are on our team as well as help the community," Anewishki says.

A secure and sustainable food system requires a combination of retail outlets, urban gardens, safety net programs, and financial support structures working together to achieve better health outcomes with healthy, affordable food.

"Food is a basic human right," says Laboy. "What we really need to be working toward is equitable access and culturally affirming nutritious food, where anyone can walk into a grocery store and buy the products that they want."
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